ESCP Europe & London School of Economics and Political Science, UK.
J Adv Nurs. 2013 Dec;69(12):2696-706. doi: 10.1111/jan.12157. Epub 2013 Apr 24.
To compare the self-construal of nurses and doctors and establish whether their roles affect perceptions of independence and interdependence.
Previous research has identified that errors in patient care occur when health professionals do not work cohesively as a team and have divergent beliefs about collaboration. Thus, it is important to understand factors shaping these beliefs. Although these are usually explained by aspects of group norms, the concept of self-construal may serve as an underlying explanation.
A quasi-experimental design was used.
One hundred and two nurses and doctors working in three nursing homes in Belgium took part in this study in 2009.
Nurses' and doctors' self-construal was measured at their workplace, using Singelis' self-construal scale. Statistical differences between nurses and doctors were investigated using analysis of covariance.
Results showed statistically significant differences between doctors' and nurses' self-construal. Doctors reported higher and dominant levels of 'independent self-construal' compared with nurses. There were no differences between nurses and doctors for interdependence. However, gender differences emerged with male doctors reporting lower levels of interdependent self-construal than male nurses. Conversely, female doctors reported higher levels of interdependent self-construal than female nurses.
Differences in the roles and training of nurses and doctors and in knowledge of their interdependencies may explain differences in self-construal. This might be useful for understanding why nurses and doctors develop divergent attitudes towards teamwork. Training that focuses on sharing knowledge on team interdependencies may positively influence teamwork attitudes and behaviour.
比较护士和医生的自我概念，并确定他们的角色是否会影响对独立性和相互依存性的看法。
先前的研究表明，当医护人员不能作为一个团队协作，并且对协作有不同的信念时，就会在患者护理中出现错误。因此，了解塑造这些信念的因素很重要。尽管这些因素通常可以用群体规范的某些方面来解释，但自我概念的概念可能是一个潜在的解释。
采用准实验设计。
2009 年，比利时三家养老院的 102 名护士和医生参加了这项研究。
在工作场所使用 Singelis 的自我概念量表测量护士和医生的自我概念。使用协方差分析调查护士和医生之间的自我概念差异。
结果显示，医生和护士的自我概念存在统计学差异。与护士相比，医生报告了更高和更主导的“独立自我概念”。护士和医生之间没有相互依存关系的差异。然而，出现了性别差异，男医生的相互依存自我概念报告水平低于男护士，而女医生的相互依存自我概念报告水平高于女护士。
护士和医生角色和培训的差异以及对相互依存关系的了解可能解释了自我概念的差异。这对于理解为什么护士和医生对团队合作持不同态度可能很有用。关注团队相互依存关系知识共享的培训可能会对团队合作态度和行为产生积极影响。
